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ACCREDO HEALTH GROUP, INC.
DSH100281 MEMORIAL HOSPITAL WEST
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Covered Entity Details
Entity Name
MEMORIAL HOSPITAL WEST
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100281
Entity Address
703 NORTH FLAMINGO ROAD
PEMBROKE PINES, FL 33028
Medicare Provider Number
100281
Participating Start Date
10/11/2005
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
10/27/2022
Contract Begin Date
10/31/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vedner Guerrier, CEO
(954) 538-4810
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/27/2022
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